Authorization Specialist
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Job Location:
Twin Falls, ID - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
- Verify insurance benefits and determine authorization requirements prior to patient visits
- Submit track and follow up on all prior authorization requests across multiple payers
- Proactively resolve pending or denied authorizations to prevent delays in care
- Communicate authorization status clearly with front office teams and clinicians
- Maintain accurate up-to-date documentation in the EMR
- Monitor schedules to ensure all visits are authorized in advance when required
- Work directly with insurance companies via phone and payer portals (e.g. Availity)
- Collaborate cross-functionally to support patient access and clinic performance
- Identify trends in denials or delays and escalate opportunities for improvement
- Ensure compliance with payer guidelines and company policies
Qualifications :
- 12 years of experience in insurance verification prior authorizations or medical office operations
- Strong understanding of insurance plans (commercial Medicare Medicaid)
- Experience managing prior authorizations from submission through approval
- Familiarity with EMR systems and healthcare workflows
- High attention to detail and accuracy
- Strong organizational and time management skills
- Clear professional communication skills
- Problem-solving mindset with the ability to navigate denials and delays
- High level of accountability and follow-through
Additional Information :
Benefits:
- Comprehensive medical insurance plans - HSA and PPO Options
- Dental and vision insurance
- Paid holidays & time off
- 401K
- Integrated mentorship program
- Customized EMR
- Hybrid work schedule
Remote Work :
No
Employment Type :
Full-time
About Company
P4 Physical Therapy believes in placing the well-being of our patients first. We accomplish this by carefully selecting compassionate, dedicated, and team-oriented staff. Our company is therapist owned with over 42 years of qualified therapy experience. Step inside our locations, and ... View more
